Theranostic Application of FAPI in Advanced Laryngeal Squamous Cell Carcinoma: 99m Tc-FAPI-46 SPECT/CT Guided 177 Lu-FAPI-2286 Therapy.
Haniye Elahifard, Mohammad Hadi Samadi, Mohsen Saberifar et al.
✦ AI-curated · Sources linked
Case in brief
A 47-year-old man with advanced laryngeal squamous cell carcinoma developed widespread skeletal metastases after chemotherapy. 99m Tc-FAPI-46 SPECT/CT imaging revealed significant FAPI uptake in the primary tumor and metastases, accurately depicting the disease burden. He was treated with 177 Lu-FAPI-2286 radioligand therapy for palliative care, with post-treatment imaging showing tracer accumulation in all known disease sites.
Diagnostic / clinical pearl
FAPI-based imaging can effectively reflect disease burden in advanced laryngeal squamous cell carcinoma and guide targeted radioligand therapy.
Why it matters
This case underscores the potential of theranostic applications of FAPI in managing advanced cancers, particularly in assessing treatment response and disease progression.